Abstract WP85: Stroke Prevalence In Arkansas's Delta

Autor: Aliza T Brown, Brittany Savage, Erin Wells, Lori Berry, Renee Joiner, Austin Porter, Sanjeeva Reddy Onteddu, krishna Nalleballe
Rok vydání: 2023
Předmět:
Zdroj: Stroke. 54
ISSN: 1524-4628
0039-2499
DOI: 10.1161/str.54.suppl_1.wp85
Popis: Background: Telestroke hospitals in the southern Arkansas Delta participating in the American Heart Associations (AHA) Get With the Guidelines® (GWTG) are challenged with medically disadvantaged, vulnerable patient populations. The Delta is largely rural with a poverty rate higher than the US National average and residents suffer a 10 year lower life expectancy of when compared to neighboring northern counties. To determine the Delta’s influence on stroke recognition and outcomes, we examined 3-digit zip code, age at stroke occurrence, race, transport mode to diagnosing hospital, patient disposition at discharge, and stroke type in calendar years (CY) 2019 to 2021. Methods: We retrospectively reviewed the AHA GWTG Stroke data for the University of Arkansas for Medical Sciences (UAMS) Institute for Digital Health & Innovation (IDHI) - Telestroke Program 2019 to 2021, from 47 of the Programs 58 participating hospital sites. Transport mode included transfers from other hospitals, emergency medical services (EMS) transport, or privately owned vehicle/taxi (POV). Patient age significance was determined using ANOVA and categorical differences with chi square analysis. Results: Data totals were 13,721 entries with 4,571, 4,478 and 4,672 entries by CY. Ages at stroke onset were among the lowest in the zip codes from Delta areas with a median age of 66 compared to the median age of 69 for Arkansas as a whole. Percentages of stroke among Black or African Americans were the highest in Delta areas in all CYs p=0.002, p2 =535; p2 =836; p Conclusions: Delta areas remain at risk for increased stroke mortality for Black or African Americans and younger populations.
Databáze: OpenAIRE
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